Presenter(s) Name(s) and Email Address(es):

Annie Golovcsenko: [email protected] 
Elena Bradley: [email protected]  

Module Description: 
This module is designed to advance the pediatric resident’s knowledge and application of clinical decision-making in the pediatric acute care and inpatient rehabilitation settings. Part 1 of this course is an asynchronous learning module. The narrated lectures will present detailed information about lines/tubes, monitors, lab values, and early mobility in the pediatric intensive care unit. Residents will learn about decision making related to frequency of services in the acute care setting, and we will discuss the transition process from acute care to inpatient rehabilitation. The lecture will describe the roles of various team members in the inpatient rehabilitation setting. We’ll highlight the interprofessional communication and planning required to ensure high quality of care in this setting. Additionally, we’ll explore the PT examination and evaluation process in inpatient rehab, with special focus on how it relates to the ICF model. Finally, we’ll describe the PT’s role in the discharge planning process to ensure a safe and effective transition from hospital to home. Part 2 of the module is a synchronous session for case-based discussions. Finally, residents are asked to complete a Knowledge Translation Plan. Residents are encouraged to engage with their program mentors throughout the course to enhance learning and integration of knowledge into clinical practice.

Learning Objectives:  
Upon completion of this module, participants will:
1. Identify and understand purpose of lines, tubes, and drains in the pediatric intensive care unit setting and implications for mobility.
2. Evaluate indications and contraindications for early mobility in the pediatric intensive care unit setting.
3. Determine and prioritize factors that determine acute care discharge planning for pediatric patients leaving the hospital.
4. Understand the roles of various team members in a pediatric acute care and inpatient rehabilitation setting and how the interdisciplinary team communicates and works together to ensure the quality of care delivered to patients and families.
5. Integrate knowledge about the pediatric PT examination and evaluation in the inpatient rehabilitation setting into clinical practice through case examples. 
6. Discuss and synthesize concepts related to the discharge planning process and responsibilities of the PT to assist children and families getting ready to leave the inpatient rehabilitation setting.

Estimated Educational Hours: 
1. Asynchronous narrated lecture: 2 hours
2. Resident required readings and assignment: 2.5 hours
3. Virtual Meeting: N/A
4. Knowledge translation worksheet: 1 hour

Presenter Bio:  
Annie Golovcsenko, PT, DPT, PCS has been a pediatric physical therapist for six years in both the clinical and academic settings. She has experience in various settings including acute care, outpatient, early intervention, and inpatient rehabilitation. She is a graduate of Georgetown’s LEND program and certificate in early intervention, and has taught at George Washington University’s Doctor of Physical Therapy program. She is also an APTA Credentialed Clinical instructor. Annie is a graduate of the Johns Hopkins Hospital / George Washington University pediatric physical therapy residency and is a board-certified clinical specialist in pediatric physical therapy. She currently works as an acute care pediatric physical therapist at Johns Hopkins Children’s Center in Baltimore where her clinical interests include early mobility in the pediatric and cardiac intensive care units, congenital heart defects, prematurity, and medically complex infants.

Elena Bradley, PT, DPT, PCS has 24 years of experience in clinical practice as well as education and mentoring in both academic and clinical settings. Her pediatric clinical experience has been in multidisciplinary clinics as well as the day rehab, outpatient, and inpatient rehabilitation programs at Kennedy Krieger Institute. She currently works in the Pediatric Comprehensive Neurorehabilitation Unit, in the hospital-based outpatient center, and as the PT in the multidisciplinary limb differences clinic. Elena has been a board-certified clinical specialist in pediatric physical therapy since 2019. She is also a Certified Brain Injury Specialist. Elena is currently the Manager of Clinical Training and Education of the physical therapy department at the Kennedy Krieger Institute, and she is the program director of the Kennedy Krieger Institute Pediatric Residency Program. She serves on Kennedy Krieger Institute’s Ethics Committee and the LEND program’s Training Advisory Curriculum Committee. Elena currently serves as the vice chair of the APTA Pediatrics Residency and Fellowship Special Interest Group, and as the chairperson for the Academy of Pediatric Physical Therapy Residency and Fellowship Consortium work group. She is also a member of the APTA Post-Professional Education Council. Her current teaching opportunities include serving as a lab instructor at the University of Maryland Baltimore Department of Physical Therapy and Rehabilitation Sciences, as well as a lecturer in Kennedy Krieger Institute’s LEND program.

Confidentiality Agreement:
• Please respect intellectual property rules. All content is intended for your use only.
• All registered participants are required to sign a confidentiality agreement, which requires that they DO NOT distribute course material. 

Asynchronous Content: 
• Participants should view the narrated lecture prior to the virtual meeting if one is scheduled. 
• A handout is included with the slides from the presentation video. 

Resident Assignment: 
• All participants should complete the assignment described here before the virtual meeting if one is scheduled.
• Review the patient case(s) provided and answer the corresponding questions.
• Complete the following required readings:
o Azamfirei R, Mennie C, Dinglas VD, et al. Impact of a multifaceted early mobility intervention for critically ill children - the PICU Up! trial: study protocol for a multicenter stepped-wedge cluster randomized controlled trial. Trials. 2023;24(1):191. Published 2023 Mar 15. doi:10.1186/s13063-023-07206-2
o Patel RV, Redivo J, Nelliot A, et al. Early Mobilization in a PICU: A Qualitative Sustainability Analysis of PICU Up!. Pediatr Crit Care Med. 2021;22(4):e233-e242. doi:10.1097/PCC.0000000000002619
o Barnett HM, Patel HR, Fuentes MM, Bunnell AE. Trends and Disparities in Inpatient Rehabilitation of Adolescents: The Effect of Demographics, Injury Characteristics, and Facility Type. Top Spinal Cord Inj Rehabil. 2022 Winter;28(1):13-20. doi: 10.46292/sci21-00033. Epub 2022 Jan 19. PMID: 35145331; PMCID: PMC8791415.
• An additional resource has alo been provided for your reference: Pediatric Vital Sign Interpretation in Acute Care Guide 2025

Knowledge Translation Reflection: 
• After the synchronous session, complete a Knowledge Translation Reflection (see worksheet posted with other course materials) and discuss with your residency mentor(s) or program director. 

Please email the presenters if you have any questions about the content or assignments. 
If you have questions about registration or the Consortium, please contact Elena Bradley at [email protected].